SION KIM (NPI# 1861920787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861920787 |
| Entity Type | Individual |
| Full Name | SION KIM |
| Credential | DO |
| Practice Address |
3458 Neely Rd Joint Base Mdl NJ 08641-5312 |
| Practice Telephone | 6097549080 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2019-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 1856 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NEBRASKA STATE MEDICAL LICENSE | 1856 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871013631 | Sion Kim | Family Medicine | 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 | 2017-06-22 |
| Street Address |
3458 NEELY RD |
| City | JOINT BASE MDL |
| State | NJ |
| Zip Code | 08641-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276866 | Patrick Anthony Johnson | Optometrist | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2005-06-22 |
| 1770068942 | Oliver Moore | Nurse Practitioner | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2018-10-03 |
| 1356848758 | Jeffrey Chung Hee Kim | Pharmacist | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2018-04-11 |
| 1881192284 | Sara Anne Keith | Social Worker | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2018-01-31 |
| 1427465889 | 87th Medical Group | Pharmacy | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2014-07-17 |
| 1710304852 | James Miller | Psychologist | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2014-03-26 |
| 1538408646 | Elle Sowa Cleaves | General Practice | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2013-02-08 |
| 1710221676 | Stephanie Ricks | Nurse Practitioner | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2012-11-15 |
| 1689935165 | Kathleen Erin Hemphill | Pharmacist | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2012-05-31 |
| 1396026571 | Charles Joshua Stallings | Pharmacist | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2011-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497108856 | Prince Philip | Internal Medicine | Jbmdl, 3458 Neely Road, Apo, AA 08641 | 2016-07-20 |
| 1932517851 | Brittany Russell | Counselor | 3458 Neeley Rd, Jb Mcguire-dix-lakehurst, Wrightstown, NJ 08641 | 2014-07-23 |
| 1306263108 | Jamal Hogan Sr. | Military Health Care Provider | 3322 Charles Blvd, 108th Crg, Mcguire Afb, NJ 08641 | 2014-03-19 |
| 1659505030 | Kimberley Dawn Bock Tabor | Military Health Care Provider | 3453 Neely Rd, Mcguire Afb, NJ 08641 | 2009-05-13 |
| 1780835686 | Jeffrey Matthew Butch | Nurse Practitioner | 87th Medical Group, 3458 Neely Road, Jbmdl, NJ 08641 | 2008-10-09 |
| 1376736041 | Jennifer Bench | Dental Hygienist | 305th Dental Squadron, Bldg. 2417 Mcguire Blvd., Mcguire Afb, NJ 08641 | 2007-08-24 |
| 1447383765 | Nikolay Sky | Dentist | Mcguire Air Force Base, New Hanover, NJ 08641 | 2007-03-14 |
| 1003995085 | Kevin Hale Black | Dentist | 205th Dental Squadron, Bldg 2417, Mcguire Blvd, Mcguire Afb, NJ 08641 | 2006-11-02 |
| 1336234285 | Barbara D Broadt | Dietitian, Registered | 305 Medical Group 3458 Neely Road, Mcguire Afb, NJ 08641 | 2006-10-04 |
| 1649378043 | Judith Anne Frankel | Psychologist | 3458 Neely Rd., 305th Medical Group/sgomh, Mcguire Afb, NJ 08641 | 2006-09-20 |
| Find all providers in zip 08641 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538408646 | Elle Sowa Cleaves | General Practice | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2013-02-08 |
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|---|---|---|---|---|
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| 1609482926 | Hunterdon Primary Care PC | General Practice | 200 Route 31 Ste 105, Flemington, NJ 08822-5812 | 2020-09-22 |
| 1831702935 | Michael E. Bunzel | General Practice | 500 River Ave Ste 500, Lakewood, NJ 08701-4738 | 2020-08-28 |
| 1225659022 | Edmontz Alectus | General Practice | 43 Liberty St, West Orange, NJ 07052-5501 | 2020-05-03 |
| 1952920274 | Carmen Sofia Arismendy | General Practice | 235 Burnside Pl, Ridgewood, NJ 07450-1701 | 2020-04-16 |
| 1699304949 | Maria Izabel Salazar Izeppi | General Practice | 51 Fawn Hollow Rd, Burlington, NJ 08016-3966 | 2020-04-07 |
| 1114558780 | Greenbook Health & Wellness | General Practice | 169 Ivy St, Newark, NJ 07106-2843 | 2020-01-31 |
| 1932742533 | Alexandra Grace Cantelmo | General Practice | 170 Marketplace Blvd, Hamilton, NJ 08691-2103 | 2019-10-26 |
| 1477196707 | Dragonfly Health | General Practice | 151 Fries Mill Rd Ste 104, Turnersville, NJ 08012-2056 | 2019-10-18 |
| 1639711500 | Health Focus Agency | General Practice | 201 Laurel Creek Blvd, Moorestown, NJ 08057-3965 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
| City | JOINT BASE MDL |
| Zip Code | 08641 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.